| NPI | 1619481306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL MARION COSTELLO President/Owner 256-353-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 114750) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2018-06-16 |